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ACQ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY)
<br /> 05/21/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed, If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Lockton Affinity, LLC
<br /> Lockton Affinity, LLC CNE ):888-553-9002 IIC,AM A No):913-652-3967
<br /> E-MAIL -- ._.....-_..
<br /> P. 0. Box 873401 ADDRESS:
<br /> Kansas City, MO 64187-3401 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Ace American insurance Company 22667
<br /> INSURED
<br /> Habitat for Humanity of Orange County', INSURERB:A.e P=cpe=ky and Casualty 20699
<br /> INSURER c
<br /> Inc.
<br /> 2200 S. Ritchey Street INSURERD:
<br /> Santa Ana, CA 92705 INSURERS:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFCRDED BY THE POLICIES DESCRIBED HEREIN IS SUB,ECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR POLIGYEFF POLICY EXP ............_...._ .
<br /> LTR TYPE OF INSURANCE 1 gD WVD POLICYNUMBER MMIDDIYYYY) (MIWDD[YYYYI LIMITS
<br /> A X COMMERCIAL GENERAL LIA6ILITY X X G24962842 013 04/01/2025 04/01/2026 EACH OCCURRENCE _ S1,000,000
<br /> I DAMAGE TO RENTE D
<br /> CLAIMS-MADE l OCCUR PREMISES Ea oxurrence $1,000 L ,000
<br /> MED EX?(Any are person) S 0
<br /> PERSONAL&,ADVINJURY S1,000,000
<br /> GEN'L AGGREGATE LI MIT APPLIESPER: GENERAL AGGREGATE S2,000,000
<br /> X POLICY DPRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLELIMIT $
<br /> ......... (Ea accident_.
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> ALLOV%NED SCHEDULED
<br /> AUTOS AUTOS BODILY INJURY(Per accident) $
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS Per accident
<br /> $
<br /> B X UMBRELLALIAB N OCCUR UM1064465-25 04/01/2025 04/01/2026 EACH OCCURRENCE $1,000,000
<br /> EXCESS I" CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED X RETENTION$10 000 s
<br /> WORKERS COMPENSATION 1 PER
<br /> YIN 6TH-
<br /> AND EMPLOYERSLIABILITY ,,;._STATUTE., ER____I
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> E.L.EACH ACCIDENT $
<br /> OFFICERlMEMBER EXCLUDED? N f A ��'-
<br /> (Mandatory in NH) E.L.DISEASE EA EMPLOYE" $
<br /> it yyes,describe under
<br /> DESGRTPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$
<br /> A Builder's Risk BRIO64465-25 04/01/2025 04/01/2026 Limit $10,000,000
<br /> - Special Farm Deductible $5,000
<br /> DESCRIPTION OF OPERATION51 LOCATIONS 1 VEHICLES(ACORD 101,Addlticnal Remarks Schedule,may be attached if mare space Is required)
<br /> City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are Additional Insured.
<br /> Tu Train Digitally signed by
<br /> TUTran NBuy_ APPROVED
<br /> N u en 0ace:2025.06.02
<br /> 9 Y 073156-0T00'
<br /> By Tu Tran Nguyen at 7:39 am,Jun 02,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> i06446$
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 Civic Center Plaza - M-26 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana, CA 92701
<br /> AUTHCRIZgUV,EPRESENTATIVE
<br /> ©�1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> 53400874 1064465
<br />
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